DAISY GUPTA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124659

License Status

NOT RENEWED

Business

First Name

DAISY

Last Name

GUPTA

Suffix

Business Name

DAISY GUPTA DO

Original Issue Date

11/23/2009

Effective Date

11/23/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011